scholarly journals Are Nurse Practitioners With a Doctor of Nursing Practice Degree Making a Difference in Health Care?

2017 ◽  
Vol 13 (4) ◽  
pp. A13
Author(s):  
Julee B. Waldrop
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Nursing Practice ◽  
Doctor Of Nursing Practice ◽  
Making A Difference

The Challenge of Comprehensive Care

2015 ◽  
Vol 8 (1) ◽  
pp. 84-86
Author(s):  
Dawn Bucher
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Nurse Practitioners ◽  
Chronic Conditions ◽  
Nursing Practice ◽  
Comprehensive Care ◽  
Multiple Chronic Conditions ◽  
Independent Practice ◽  
Doctor Of Nursing Practice ◽  
Care System

Adults are living longer with multiple chronic conditions. There are many challenges to providing comprehensive care to patients around the country in today’s system. This article, although personal, discusses some challenges seen by the writer but witnessed by many. It also looks at some challenges nurse practitioners have when practicing in multiple states across the country. Lastly, I offer my opinion on certification as a Diplomate of Comprehensive Care for all Doctor of Nursing Practice clinicians who provide comprehensive care in independent practice settings. It is time to provide safe, quality, comprehensive care to our patients in a reputable health care system.

Doctor of Nursing Practice Program Development: Reengineering Health Care

2005 ◽  
Vol 44 (9) ◽  
pp. 396-403 ◽  
Author(s):  
Barbra M. Wall ◽  
Julie C. Novak ◽  
Sharon A. Wilkerson
Keyword(s):  
Health Care ◽  
Program Development ◽  
Nursing Practice ◽  
Doctor Of Nursing Practice

scholarly journals Changing nursing practice within primary health care innovations: the case of advanced access model

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabina Abou Malham ◽  
Mylaine Breton ◽  
Nassera Touati ◽  
Lara Maillet ◽  
Arnaud Duhoux ◽  
...  
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Nurse Practitioners ◽  
Thematic Analysis ◽  
Organizational Context ◽  
Nursing Practice ◽  
Influential Factors ◽  
Practice Change ◽  
Policy Support ◽  
Advanced Access

Abstract Background The advanced access (AA) model has attracted much interest across Canada and worldwide as a means of ensuring timely access to health care. While nurses contribute significantly to improving access in primary healthcare, little is known about the practice changes involved in this innovative model. This study explores the experience of nurse practitioners and registered nurses with implementation of the AA model, and identifies factors that facilitate or impede change. Methods We used a longitudinal qualitative approach, nested within a multiple case study conducted in four university family medicine groups in Quebec that were early adopters of AA. We conducted semi-structured interviews with two types of purposively selected nurses: nurse practitioners (NPs) (n = 6) and registered nurses (RNs) (n = 5). Each nurse was interviewed twice over a 14-month period. One NP was replaced by another during the second interviews. Data were analyzed using thematic analysis based on two principles of AA and the Niezen & Mathijssen Network Model (2014). Results Over time, RNs were not able to review the appointment system according to the AA philosophy. Half of NPs managed to operate according to AA. Regarding collaborative practice, RNs were still struggling to participate in team-based care. NPs were providing independent and collaborative patient care in both consultative and joint practice, and were assuming leadership in managing patients with acute and chronic diseases. Thematic analysis revealed influential factors at the institutional, organizational, professional, individual and patient level, which acted mainly as facilitators for NPs and barriers for RNs. These factors were: 1) policy and legislation; 2) organizational policy support (leadership and strategies to support nurses’ practice change); facility and employment arrangements (supply and availability of human resources); Inter-professional collegiality; 3) professional boundaries; 4) knowledge and capabilities; and 5) patient perceptions. Conclusions Our findings suggest that healthcare decision-makers and organizations need to redefine the boundaries of each category of nursing practice within AA, and create an optimal professional and organizational context that supports practice transformation. They highlight the need to structure teamwork efficiently, and integrate and maximize nurses’ capacities within the team throughout AA implementation in order to reduce waiting times.

Why Hire a Doctor of Nursing Practice–Prepared Nurse? The Value Added Impact of the Practice Doctorate

2016 ◽  
Vol 9 (1) ◽  
pp. 152-157 ◽  
Author(s):  
Rosanne Burson ◽  
Katherine J. Moran ◽  
Dianne Conrad
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Health Care Systems ◽  
Value Added ◽  
Doctor Of Nursing Practice ◽  
Organizational Goals ◽  
Nursing Leaders ◽  
Care Systems ◽  
Practice Doctorate ◽  
Post Baccalaureate

Nursing leaders are essential in promoting the doctor of nursing practice (DNP)-prepared nurse in various innovative roles (Nichols, O’Connor, & Dunn, 2014). However, according to the recently released RAND study,The DNP by 2015: A Study of the Institutional, Political, and Professional Issues That Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program(Auerbach et al., 2014) employers and health care organizations need outreach and data to understand the added competencies and capabilities of DNP-educated nurses. Practicing DNPs are in an excellent position to demonstrate and educate our executive colleagues. The purpose of this article is (a) to foster nursing leadership’s understanding of the uniquely prepared nursing practice doctorate, (b) to illustrate how the DNP-prepared nurse is being integrated/used to their potential within health care systems to maximize clinical and population health outcomes, and (c) to issue a call to action for nursing leadership to engage the DNP-prepared nurse to accomplish organizational goals.

The Efficacy of a Doctor of Nursing Practice Mentoring Program

2015 ◽  
Vol 8 (2) ◽  
pp. 150-159 ◽  
Author(s):  
Mikkii Swanson ◽  
Ernesto Perez ◽  
Mary Atkinson Smith ◽  
Marietta Stanton ◽  
Leigh Ann Keith ◽  
...  
Keyword(s):  
Health Care ◽  
Personal Growth ◽  
Nursing Practice ◽  
Mentoring Relationships ◽  
Mentoring Program ◽  
Leadership Roles ◽  
Doctor Of Nursing Practice ◽  
Career Growth ◽  
Growth Problem ◽  
Executive Level

Mentoring creates opportunities for guidance, collaboration, partnerships, career development, personal growth, problem solving, leadership, and scholarly advancement among others. Mentoring is not a new concept to health care or to nursing. Nurses and others in the health care field depend on various individuals for their career growth and developmental networking. Doctor of nursing practice (DNP) graduates are encouraged to collaborate with other disciplines, assume leadership roles, and serve as mentors at the clinical, educational, or executive level. Mentoring relationships are essential for the DNP graduate to continue growing scholarly, professionally, and personally.

Qualitative Analysis of Comprehensive Care in Doctor of Nursing Practice Case Narratives: Astuteness and Advocacy Fall Short Without Audacity

2015 ◽  
Vol 8 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Mary W. Byrne
Keyword(s):  
Health System ◽  
Nurse Practitioners ◽  
Clinical Assessment ◽  
Nursing Practice ◽  
Phenomenological Analysis ◽  
Comprehensive Care ◽  
Advanced Nursing Practice ◽  
Doctor Of Nursing Practice ◽  
Nursing Associations ◽  
Purposive Sample

Doctor of Nursing Practice (DNP) programs have focused on competencies needed to deliver comprehensive patient care across settings and time. Endorsed by professional nursing associations, these competencies are typically evaluated through detailed case narratives written by DNP candidates. Beyond competency metrics, the essence of comprehensive care for advanced nursing practice has not been carefully explicated. In this study, a phenomenological analysis is applied to a purposive sample of 12 DNP case narratives to identify the meaning of comprehensive care as transmitted in practice. Clinical assessment precision, diagnostic acumen, and advocacy emerge consistently but only the more audacious nurse practitioners directly challenge health system fragmentation.

scholarly journals Exploring the Necessity of the Establishment of Doctor of Nursing Practice Program from expertise’s view; A Qualitative Study

2020 ◽  
Author(s):  
mozhgan rivaz
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Qualitative Data ◽  
Nursing Practice ◽  
Qualitative Approach ◽  
Faculty Members ◽  
Structured Interviews ◽  
Doctor Of Nursing Practice ◽  
Managing Change ◽  
Clinical Nursing

Abstract Background Complex healthcare landscape increasingly demands leaders who are adept at managing change in health care environments. The doctor of nursing practice (DNP) prepares nurses for the most advance level of clinical nursing practice. The aim of this study was to explore the necessity of the establishment of the DNP program in Iran from expertise’s view.Methods This study was conducted using a qualitative approach. The participants included thirteen faculty members and PhD candidates who were selected through a purposive sampling. Data were collected through focus group and semi-structured interviews, and analyzed using qualitative content analysis.Results Qualitative data analysis resulted in two main categories: “provide infrastructures” and “DNP: as an opportunity to drive positive changes” with two categories respectively.Conclusion The findings showed although DNP as an opportunity to drive positive changes is necessary in the nursing education, but inadequate resources, cultural, social, and economic differences in the developing countries especially in Iran, are important limitations of the implementation of the DNP. Therefore, a multidisciplinary collaboration to provide a well-integrated means of meeting the needs of the patients recommended for better designing of the DNP and break down the obstacles.

The Influence of the Doctor of Nursing Practice on West Texas Health Care

Nurse Leader ◽  
2021 ◽  
Author(s):  
Brandon “Kit” Bredimus ◽  
Joyce Batcheller ◽  
Carol Boswell ◽  
Bob Dent
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Doctor Of Nursing Practice ◽  
West Texas ◽  
Texas Health

Exploring Nursing Students, Registered Nurses, and Advanced Practice Registered Nurses’ Interest in Doctor of Nursing Practice Degree Programs

2015 ◽  
Vol 8 (1) ◽  
pp. 66-69
Author(s):  
Michaela Jones ◽  
Amy Rose Taylor
Keyword(s):  
Nursing Students ◽  
Registered Nurses ◽  
Nurse Practitioners ◽  
Nursing Practice ◽  
Degree Programs ◽  
Advanced Practice ◽  
Management Skills ◽  
Web Based ◽  
Doctor Of Nursing Practice ◽  
Multiple Choice Questionnaire

This pilot study explored nursing students, registered nurses (RN), RNs enrolled in master’s degree programs focused on advanced practice registered nurse roles, and master’s prepared nurse practitioners’ interest in attending a Doctor of Nursing Practice (DNP) degree program. There were 666 persons who responded to the 23-item web-based, multiple-choice questionnaire. Of those who responded to specific questions, 76% of participants were aware of the different types of DNP programs, and 73% were considering a DNP degree. More than half of all respondents were considering the degree to advance their careers. Of those who were considering pursuing the degree, 74% were most interested in a clinically focused program to expand or improve their clinical diagnosis and management skills. Overall cost and school reputation were the most important factors for choosing a program. Further research is needed to understand reasons and influencing factors that are associated with potential applicants’ interest in pursuing this degree and the types of programs they would choose to attend.

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